Regular episodes of bleeding during or after sexual intercourse can be the symptom of serious medical conditions, so they should always be taken seriously, which means you should see an OBGYN if you experience regular intercourse-related bleeding. Your initial visit will set the diagnostic process in motion, and you can receive ant treatment needed after the cause of your bleeding has been established.
The following are some of the more common causes of bleeding during or after sexual intercourse that may require some changes, but aren't medically serious.
- A lack of lubrication.
- Vaginal dryness, often seen in perimenpausal and menopausal women.
- Friction — meaning, you've been a bit too rough.
- Using, ehm, intimate aids that didn't turn out to be all that gentle.
- Your period starting during or right after intercourse — a simple coincidence in other words.
As for causes of vaginal bleeding after or during intercourse that require medical treatment, these are on the list:
- Cervical inflammation (cervicitis).
- Cervical inflammation related to pregnancy.
- Cervical polyps.
- Damage to the uterine lining (endometrium), often in women who take oral contraceptives.
- Vaginal atrophy — thinning, drying and inflammation of the vagina's wall, usually caused by reduced estrogen levels following the menopause.
- Vaginitis, an inflammation of the vagina that can be caused by bacterial, fungal or parasitic infections
- A sexually transmitted disease, like chlamydia or gonorrhea.
- Cervical cancer.
Cervical cancer is, without a doubt, the scariest item on that list. If you haven't reached menopause yet, though, benign causes are far, far more likely. Women who have had normal PAP smear results recently especially don't need to worry too much if they notice bleeding during intercourse. The cervix can be pretty sensitive, and sometimes simple passion is enough to cause bleeding. You still need to go to a doctor if you see bleeding on a regular basis, but you don't need to be panicking as you run to the doctor at a significant portion of the speed of light.
Do you still need to see a doctor if it happened once? Well, you can if you want to, but chances are that your bleeding was caused by one of the non-serious issues listed above. You'll be OK if you don't see a doctor as well, unless you are worried or experience bleeding again. If you have other symptoms too — like abdominal pain, for instance — do make an appointment.
Are you pregnant? Around 30 percent of pregnant women experience some bleeding over the course of their nine months. Your cervix is more sensitive during this time, meaning intimacy can easily lead to light spotting. Again, see your OBGYN about it if you're worried (or simply mention it at your next prenatal appointment), but don't be too worried unless you have other symptoms too.
Vaginal bleeding of any kind is a more serious matter in postmenopausal women. If you have reached menopause and suddenly notice bleeding, either sex-related or not, do have it checked out at your very earliest opportunity. You may just have vaginal dryness (lubricants can help in that case), but you want to be on the safe side and get your OBGYN to take a look.
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